ATI RN
ATI Maternal Newborn Proctored Exam Latest Update Questions
Extract:
Question 1 of 5
A nurse in a prenatal clinic who reports that her menstrual period is 2 wks late. The client appears anxious and asks the nurse if she is pregnant. Which of the following responses should the nurse make?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: Response A is the most appropriate because it addresses the client's concerns while also gathering more information. By asking the client to describe her typical menstrual cycle, the nurse can explore other potential reasons for the missed period, such as stress or hormonal imbalances. This approach shows empathy and helps the nurse to provide personalized care based on the client's individual situation.
Summary of Other
Choices:
B: This response assumes pregnancy without gathering more information or considering other possibilities, potentially causing unnecessary worry or anxiety.
C: Asking about abdominal enlargement is a specific sign of pregnancy and may not be relevant at this early stage. It also does not address the client's anxiety directly.
D: While suggesting a home pregnancy test is important, it does not address the client's anxiety or gather more information about her menstrual cycle.
Question 2 of 5
A nurse is planning discharge for a client who is 3 days postpartum. Which of the following non pharmacological interventions should the nurse include in the plan of care for lactation suppression?
Correct Answer: B
Rationale: The correct answer is B: Apply cabbage leaves to the breast. Cabbage leaves have been shown to help with lactation suppression due to their anti-inflammatory properties. Placing cabbage leaves on the breasts can help reduce milk supply by decreasing blood flow to the area. This method is safe, inexpensive, and easily accessible.
Choice A (Place warm, moist packs on the breast) is incorrect as warmth can actually stimulate milk production.
Choice C (Wear a loose-fitting bra) is also incorrect as it does not directly address lactation suppression.
Choice D (Put green tea bags on the breasts) is not effective for lactation suppression and may not be safe for the newborn if ingested.
Question 3 of 5
A nurse is performing a physical assessment of a newborn. Which of the following clinical findings should the nurse expect? (Select all that apply).
Correct Answer: A,B,C,D
Rationale: The correct answer is A, B, C, and D.
1. Heart rate of 154/min is expected in a newborn, indicating normal cardiac function.
2. Axillary temperature of 96.8 F is within the normal range for a newborn.
3. Respiratory rate of 58/min is expected due to the newborn's immature respiratory system.
4. Length of 43 cm (16.9 in) falls within the normal range for a newborn's size.
Incorrect choices are not applicable due to lack of details, but in general, incorrect options would have included values outside the normal range for a newborn's physical assessment.
Question 4 of 5
A nurse is caring for a client and her partner who have experienced a fetal death. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A because taking photos of the newborn allows the parents to create lasting memories and helps in the grieving process. It also validates the existence of the baby as a member of the family.
Choice B may be insensitive as it might be too soon to discuss organ donation.
Choice C may isolate the parents from their support system.
Choice D may pressure the parents at a difficult time.
Question 5 of 5
A nurse is caring for a client who is 36 weeks of gestation and has a prescription for an amniocentesis. For which of the following reasons should the nurse prepare the client for an ultrasound?
Correct Answer: B
Rationale: The correct answer is B:
To locate a pocket of fluid. Before performing an amniocentesis procedure, it is essential to locate a pocket of amniotic fluid to ensure the safety of the fetus during the procedure. This is crucial to avoid accidentally puncturing the fetus or placenta. An ultrasound helps in visualizing the amniotic fluid pocket and guiding the needle insertion accurately.
Incorrect
Choices:
A:
To estimate fetal weight - Estimating fetal weight is not a primary reason for preparing the client for an ultrasound before amniocentesis.
C:
To determine multiparity - Multiparity (number of pregnancies) does not directly impact the need for an ultrasound before an amniocentesis.
D:
To pre-screen for fetal anomalies - While ultrasounds can detect anomalies, the primary purpose before an amniocentesis is to locate the amniotic fluid pocket, not screen for anomalies.